LISA M JACK (NPI# 1740210152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740210152 |
Entity Type | Individual |
Full Name | LISA M JACK |
Credential | APRN BC |
Practice Address |
2076 Lascassas Pike Ste B Murfreesboro TN 37130-2085 |
Practice Telephone | 6155350124 |
Practice Fax Number | 6156534218 |
Mailing Telephone | 6155350124 |
Mailing Fax Number | 6156534218 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-04-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APN0000008399 | TN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922645035 | Lisa Jack | Behavior Technician | 2880 Pottsville Minersville Hwy # 135, Minersville, PA 17954-2027 | 2019-12-09 |
1942739404 | Lisa Jack | Counselor | 613 East St, Mamou, LA 70554 | 2017-06-08 |
1891827457 | Lisa E. Jack | Psychologist | 2233 Hamline Ave N Ste 611, Saint Paul, MN 55113-5007 | 2007-03-09 |
Street Address |
2076 LASCASSAS PIKE STE B |
City | MURFREESBORO |
State | TN |
Zip Code | 37130-2085 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538667001 | Innovation Health, LLC | Nurse Practitioner | 2076 Lascassas Pike Ste B, Murfreesboro, TN 37130-2085 | 2018-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760954374 | Ginger Marie Nolan | Speech-Language Pathologist | 2208 E. Main Street Murfreesboro, Murfreesboro, TN 37130 | 2018-12-20 |
1710480835 | Winter Calvert Cullen | Chiropractor | 925 S. Church St. A200, Murfreesboro, TN 37130 | 2018-03-15 |
1821598368 | Carolina Lira | Social Worker | 1800 S. Rutherford Blvd, Suite 201, Murfreesboro, TN 37130 | 2018-02-20 |
1003314477 | Sarah Elizabeth Howard | Recreation Therapist | 260 Glenis Drive, Veterans Recovery Center, Murfreesboro, TN 37130 | 2018-01-31 |
1871012864 | Adam Gerard Fedewa | Physical Therapy Assistant | 1207woods Edge Dr, Murfreesboro, TN 37130 | 2017-09-12 |
1972027860 | Teri Andrea White | Specialist | 1011-b Nw Broard St, Suite 15, Murfreesboro, TN 37130 | 2017-08-01 |
1295285120 | Bethany Ann Malugin | Nurse Practitioner | 324 S. Bilbro Ave., Murfreesboro, TN 37130 | 2016-10-04 |
1982080636 | Lisa Anne Davis | Massage Therapist | 416 North Front Street, Murfreesboro, TN 37130 | 2015-08-05 |
1568844488 | Dental Excellence | Dentist | 1754 S Rutherford Boulevard, Murfreesboro, TN 37130 | 2015-06-27 |
1932545134 | Burma Collins Developmental Services | Home Health | 2161 Slater Drive, Mufressboro, TN 37130 | 2013-05-14 |
Find all providers in zip 37130 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093322042 | Meghan Nicole Adams | Nurse Practitioner | 1508 Carl Adams Dr Unit 200, Murfreesboro, TN 37129-4375 | 2020-09-24 |
1184244832 | Lauren Tucker | Nurse Practitioner | 4477 Betty Ford Rd, Murfreesboro, TN 37130-6717 | 2020-04-23 |
1104380369 | Natalie Karen Bouie | Nurse Practitioner | 2620 New Salem Hwy, Murfreesboro, TN 37128-5354 | 2019-01-22 |
1710455720 | Rebecca Fuqua | Nurse Practitioner | 1139 Nw Broad St Ste 103, Murfreesboro, TN 37129-2390 | 2018-11-07 |
1588031421 | Emily Dilmon Roberts | Nurse Practitioner | 2945 Elam Rd Apt E106, Murfreesboro, TN 37127-6165 | 2015-08-26 |
1518270115 | Self Centered Weight Loss and Wellness of Murfreesboro, Pllc | Nurse Practitioner | 1211 Leaf Ave Ste 102, Murfreesboro, TN 37130-2642 | 2010-07-23 |
1932430394 | Jessica M Purdom | Nurse Practitioner | 1840 Medical Center Pkwy Ste 300, Murfreesboro, TN 37129-3237 | 2010-01-26 |
1477721066 | Joshua Kain Winfree | Nurse Practitioner | 400 N Highland Ave., Murfreesboro, TN 37130-3837 | 2008-02-15 |
1326265984 | Suzanne Scoble | Nurse Practitioner | 1004 N Higland Avenue, Murfreesboro, TN 37130 | 2007-04-18 |
1376580613 | Nena Egli | Nurse Practitioner | 1927 Memorial Blvd, Murfreesboro, TN 37129-1545 | 2006-06-02 |
Find all providers in MURFREESBORO |
City | MURFREESBORO |
Zip Code | 37130 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.